Vanetta Perkins
Jackson
Summary
Health Insurance Professional with extensive experience in prior authorizations, insurance verification, claims processing, underwriting support, and high-volume call center environments. Skilled in reviewing medical records, verifying benefits, securing authorizations, and coordinating with insurance companies and physician offices to ensure timely approvals and payment. Recognized for maintaining high accuracy, productivity, and customer service standards.
Overview
11
11
years of professional experience
Work History
Insurance Authorization Specialist I
Included Health
08.2025 - Current
- Reviewed and selected appropriate clinical documentation to support insurance authorization requests and ensure patient safety.
- Submitted prior authorization requests to insurance companies based on plan requirements to secure approval and payment.
- Served as liaison between ordering physicians and insurance companies to obtain required documentation and communicate authorization requirements.
- Verified insurance benefits, authorization requirements, and medical necessity criteria.
- Followed up on pending authorizations to ensure timely approval and avoid delays in patient care.
- Maintained detailed documentation of authorization status, communications, and submissions.
- Ensured compliance with insurance guidelines, policies, and HIPAA regulations.
- Achieved and maintained 95% or higher accuracy and quality standards.
- Met or exceeded productivity standards and maintained high-quality customer service performance.
Health Concierge
Aetna
08.2024 - 08.2025
- Assist members, families, and healthcare providers with commercial health plan coverage and claims processing.
- Explain copays, premiums, pre-authorizations, and available plan options.
- Help members navigate enrollment and select appropriate benefit plans.
- Research and resolve issues related to benefits, eligibility, and claims.
- Maintain current knowledge of insurance products, services, and policies.
- Resolve customer complaints and ensure proper follow-up and resolution.
Customer Service Representative
Accenture
12.2023 - 05.2024
- Handled high-volume inbound calls, chats, and emails for Human Services programs.
- Assisted customers with SNAP, CASH, and benefits inquiries, payments, and card issues.
- Completed new benefit applications and submitted documentation for case worker review.
- Documented all customer interactions and maintained accurate records.
- Escalated complex issues through proper channels.
- Consistently met performance metrics and customer satisfaction goals.
Small Structure Property Adjuster
American Family Insurance
03.2023 - 12.2023
- Investigated property claims and reviewed policies to determine coverage.
- Used Xactimate to create detailed estimates for property and structural damage.
- Reviewed claims for accuracy and potential fraud.
- Communicated with claimants, attorneys, contractors, and engineers.
- Managed field inspections and coordinated claim investigations.
Underwriting Assistant / Interviewer I
Mutual of Omaha
09.2022 - 01.2023
- Reviewed policy forms and documentation for accuracy prior to issuance.
- Conducted health interviews with applicants by phone.
- Contacted medical offices to obtain CPT/ICD-10 codes and medical information.
- Processed underwriting documentation and maintained client files.
- Communicated with applicants and internal teams via phone and email.
Billing & Enrollment Specialist I
Humana
12.2021 - 08.2022
- Answered approximately 100 inbound calls daily regarding insurance benefits and enrollment.
- Verified eligibility, copays, and policy benefits.
- Assisted customers with enrollment forms and premium payment options.
- Processed ACH/EFT, credit card, and allotment forms.
- Updated and maintained customer records in multiple systems.
Dispatcher / Customer Service
Transdev
01.2019 - 10.2021
- Scheduled transportation for paratransit passengers.
- Dispatched buses and ensured routes stayed on schedule.
- Provided route and schedule information to passengers.
- Assisted management with reports, schedules, and data entry.
- Ensured compliance with safety and company policies.
Customer Service Representative
RevClaims
12.2014 - 12.2018
- Reviewed medical records and invoices using EPIC system.
- Sent invoices and records to insurance adjusters for third-party liability claims.
- Coordinated benefits between hospitals and auto insurance companies.
- Trained new employees on customer service procedures.
- Handled customer concerns and escalated issues when necessary.
Education
English
Jackson State University
Jackson, MS04.2012
Skills
- Prior Authorizations
- Insurance Verification & Benefits
- Medical Records Review
- Claims Processing
- CPT / ICD-10 Codes
- EPIC System
- Salesforce & Microsoft Office
- Customer Service & Call Center Support
- Data Entry & Documentation
- Enrollment & Billing
- Provider & Insurance Communication
- EPIC
- Salesforce
- Xactimate
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Timeline
Insurance Authorization Specialist I
Included Health
08.2025 - Current
Health Concierge
Aetna
08.2024 - 08.2025
Customer Service Representative
Accenture
12.2023 - 05.2024
Small Structure Property Adjuster
American Family Insurance
03.2023 - 12.2023
Underwriting Assistant / Interviewer I
Mutual of Omaha
09.2022 - 01.2023
Billing & Enrollment Specialist I
Humana
12.2021 - 08.2022
Dispatcher / Customer Service
Transdev
01.2019 - 10.2021
Customer Service Representative
RevClaims
12.2014 - 12.2018
English
Jackson State University